With the expansion of Medicare has also come a rise in Medicare Advantage plan enrollment by American seniors. Older patients are attracted to these "replacement plans" due to savings on premiums and the convenience of one-stop shopping for coverage. However, misinformation and a lack of education on the details of these plans is causing headaches for enrollees and healthcare organization reimbursement departments alike.
It’s no secret that the healthcare reform is changing the way medical providers operate. Patient responsibility is higher than ever, and consumers are having a difficult time understanding their new policies. This leads to higher patient balances, which often go unpaid. In addition, with co-pays, deductibles and co-insurances on the rise, patients are beginning to shop around for care. In order to compete, the emphasis in medical practices must shift from volume to value.
Last week’s HFMA Maryland chapter event, The HealthCare “Three R’s”: Regulation – Reform – Reimbursement conference, shed light on the effects of the Affordable Care Act in Maryland, and how the local healthcare community is reacting to the reform.